HCR 220 Week 6 - DQ 2 - 7699

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HCR 220 Week 6 Discussion Question 2

Briefly explain the steps used to assign HCPCS codes for billing purposes.
Look up the name of the supply or item in the index - alphabeticallyVerify the code selection in the correct Tabular list selectionCheck for the symbols next to some codes (new, revised and deleted)Review the description of quantities (dosage of medication)Provide additional information about services not listed

Also, do you believe it is more or less efficient to use different billing procedures for Medicare, Medicaid, and private payers? Why or why not? I think that it is less efficient for there to be different procedures for Medicare, Medicaid and Private payers. This could cause a lot of confusion to personnel who are new and just learning the coding system. Example, a patient with private insurance has a test that is 100% covered but accidently codes to Medicare that may only pay for 50% or none of the test. One must remember that codes cannot be changed.What are advantages and disadvantages of having unique coding systems for each type of insurance?A disadvantage for Medicare and Medicaid is that the HCPS Level II must be double-checked to make sure tests are covered. There will be service reimbursement for each and every test that is performed. An advantage is that Medicare has a manual that lists all Medicare qualified tests (clinical tests, treatments, therapeutic interventions, diagnostic testing and durable medical equipment, etc.). The disadvantage with private payers is when a private payer wants HCPCS codes used they will let you know. Otherwise it can be billed with other codes. The advantage is that the private payer Blue Cross Blue Shield sends customers updated information any time something changes with HCPCS codes.